JOB NUMBER:

{ "JHA": [ { "title": "", "number": "PAGE 1 OF 3", "worksheet": { "projectName": "", "site": "", "projectNumber": "", "buildingRoomNumber": "", "generalContractor": "", "preparedBy": "", "contractors": "", "date": "", "crafts": "", "scheduledStartDate": "", "reviewedBy": "", "taskDescription": "Adding slip flange to accommodate 3" NG line change", "requiredPPE": "Hard hat, eye protection (safety glasses), work boots, long pants & shirt with at least 4" sleeves.", "supplementalPPE": "Full face welding helmet with filter lens when welding, welding jacket, welding gloves, full face shield when grinding or wire wheeling.", "requiredPermits": "Hot Work Permit", "generalComments": "Prior to starting the job, foremen will inspect the work area to ensure all fire hazards have been removed. Only authorized and qualified workers can operate welding equipment. If any work is performed on a system which has potential release of energy, LOTO procedures will be followed. Any defective equipment is to be removed and reported to the site supervisor to replace. Therma will provide a fire watch. A copy of this JHA will be kept at the work site available for review upon request. This JHA will be reviewed by all workers prior to start of activities. A natural gas monitor will be used at the exhaust point to verify no NG exists in the gas line after the line is purged with compressed air." }, "workOperations": [ { "operation": "Set up work area", "hazards": "Back injury from lifting materials", "safeActions": "Use recommended lifting techniques. Lift with legs. Use 2 workers if bulky or load exceed 50 pounds. Use mechanical means if required." }, { "operation": "", "hazards": "Impact to facility and/or other trades", "safeActions": "Obtain Hot Work Permit from GCI and GNE. Review work permit and safe work practices with workers prior to beginning task." }, { "operation": "Owner / Client to verify valves supplying NG to appliances are closed or disconnected", "hazards": "Possible equipment damage from compressed air", "safeActions": "Ensure valves are closed prior to applying purge." }, { "operation": "", "hazards": "Compressed air flowing into occupied areas of the building", "safeActions": "Ensure valves are closed." } ] }, { "title": "", "number": "PAGE 2 OF 3", "workOperations": [ { "operation": "Shut down gas at valve.", "hazards": "Control of valve", "safeActions": "Lock and tag out valve at branch source." }, { "operation": "Attach compressed air purge line to purge port on 3" line located as far upstream as possible", "hazards": "", "safeActions": "" }, { "operation": "Open the gas line exhaust to atmosphere", "hazards": "Hazardous accumulation of gas. Odor alarming occupants", "safeActions": "Ensure the presence of natural ventilation in order to disperse gas. Provide mechanical ventilation if required." }, { "operation": "Purge gas line w/ compressed air", "hazards": "Residual gas remaining in line", "safeActions": "Verify purge with NG monitor at exhaust point. Use NG monitor and verify the absence of NG." }, { "operation": "Cut pipe with grinder and/or porta band", "hazards": "Electric shock, cuts, sparks", "safeActions": "Inspect equipment before use. Use required PPE. Use GFCI. Have fire extinguisher nearby." }, { "operation": "Fit up and install new flange to piping", "hazards": "", "safeActions": "" }, { "operation": "Operate welder", "hazards": "Inhalation hazard from fumes", "safeActions": "Perform welding in a well-ventilated area or provide local exhaust ventilation with flex duct and blower. The welder operator and other workers directly exposed to weld fumes will take precautions as seen fit for the individuals comfort level to perform work. Any worker required to use a respirator will have an annual medical evaluation and be fit tested and trained by a qualified person." }, { "operation": "", "hazards": "Eye injury, dust, or flashes", "safeActions": "Wear full face welding helmet. Wear safety glasses or goggles. Use weld screens to prevent flash burns to other workers or pedestrians." }, { "operation": "", "hazards": "Fire from heat, sparks or slag", "safeActions": "Have suitable fire extinguisher on hand. Remove all combustible from welding area." }, { "operation": "", "hazards": "Electric shock from Improper grounding", "safeActions": "Verify grounding before operating equipment. Pre-inspect all welding leads, connections. Repair or replace damaged or defective equipment. Only operator welder on dry surfaces. Do not stand on wet surfaces." }, { "operation": "", "hazards": "Burn from hot objects", "safeActions": "Ensure proper selection of PPE (welding leather and gloves)." } ] }, { "title": "", "number": "PAGE 3 OF 3", "workOperations": [ { "operation": "Remove LOTO at valve", "hazards": "", "safeActions": "" }, { "operation": "Advise facilities to open gas valve", "hazards": "", "safeActions": "" }, { "operation": "Verify 100% NG at the purge discharge point w/NG meter", "hazards": "", "safeActions": "" }, { "operation": "Close/secure purge points", "hazards": "", "safeActions": "" }, { "operation": "Test for leaks on new piping", "hazards": "", "safeActions": "" }, { "operation": "Turn system over to Genentech/JLL/GCI", "hazards": "", "safeActions": "" }, { "operation": "Client/owner to coordinate the startup of gas-fed appliances in the building", "hazards": "", "safeActions": "" }, { "operation": "This JHA is to be reviewed and signed by all personnel at the job site. It is to be kept at each work site for the duration of this project.", "hazards": "", "safeActions": "" }, { "operation": "JHA Title:", "hazards": "", "safeActions": "" }, { "operation": "JHA Number:", "hazards": "", "safeActions": "" }, { "operation": "Date", "hazards": "", "safeActions": "" }, { "operation": "Name(Print)", "hazards": "", "safeActions": "" }, { "operation": "Company", "hazards": "", "safeActions": "" }, { "operation": "Signature", "hazards": "", "safeActions": "" } ] } ] }